Individual
DR. JUSTIN ROBERT FAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
28 MAPLE AVE, ARMONK, NY 10504-1824
(914) 273-3485
Mailing address
1950 BALDWIN RD, YORKTOWN HEIGHTS, NY 10598-4008
(914) 245-4494
(914) 962-2699
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X008283-2
NY
Other
Enumeration date
10/02/2006
Last updated
11/01/2016
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